综合康复训练联合认知行为护理对断指再植术后患者负性情绪、疼痛程度及并发症发生率的影响  

Effect of Comprehensive Rehabilitation Training Combined with Cognitive Behavioral Nursing on Negative Emotions,Pain level and Incidence of Complications in Patients after Finger Replantation Surgery

作　　者：尤玮[1] 张巍琼 徐燕[1] YOU Wei;ZHANG Weiqiong;XU Yan(Department of Hand,Foot and Orthopedics,Unit 303,Subei People's Hospital,Jiangsu Province,Yangzhou,225800,China)

机构地区：[1]江苏省苏北人民医院手足骨科303病区,江苏扬州225800

出　　处：《反射疗法与康复医学》2024年第14期183-186,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨综合康复训练联合认知行为护理对断指再植术后患者负性情绪、疼痛程度及并发症发生率的影响。方法选择2020年11月—2023年8月江苏省苏北人民医院收治的70例行断指再植术患者为研究对象,按随机数字表法将其分为对照组与观察组,各35例。对照组采用常规护理干预,观察组采用综合康复训练联合认知行为护理干预。比较两组患者的负性情绪、疼痛程度、生活质量及并发症发生情况。结果干预后,观察组汉密顿焦虑量表、汉密顿抑郁量表、疼痛视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05);观察组生活质量综合评定问卷各个维度评分均高于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率为8.57%,低于对照组的28.57%,差异有统计学意义(P<0.05)。结论综合康复训练联合认知行为护理干预在断指再植术后患者中具有较高的应用价值,能有效缓解患者负面情绪,减轻疼痛,提高生活质量,减少并发症的发生。Objective To explore the effects of comprehensive rehabilitation training combined with cognitive behavioral nursing on negative emotions,pain level,and incidence of complications in patients after finger replantation surgery.Methods seventy patients with underwent finger replantation treated in Subei People's Hospital of Jiangsu Province from November 2020 to August 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 35 cases in each group.The control group was treated with routine nursing intervention,and the observation group was treated with comprehensive rehabilitation training combined with cognitive behavioral nursing intervention.The negative emotion,pain level,quality of life and complications were compared between the two groups.Results After intervention,the scores of Hamilton Anxiety Scale,Hamilton Depression Scale and pain Visual Analogue Score in the observation group were lower than those in the control group,and the difference between groups was statistically significant(P<0.05);the scores of all dimensions of Generic Quality of Life Inventory-74 in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 8.57%,which was lower than 28.57% in the control group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive rehabilitation training combined with cognitive behavioral nursing intervention has a high application value in patients after finger replantation,which can effectively relieve patients'negative emotions,reduce pain,improve quality of life and reduce the occurrence of complications.

关 键 词：断指再植术 综合康复训练 认知行为护理 负性情绪 疼痛程度 

分 类 号：R658.1[医药卫生—外科学]